1294 Online Education for Patients Undergoing Elective Orthopaedic Surgery During A Global Pandemic

Introduction lective hip and knee joint replacement patients at the East Lancashire Hospitals NHS Trust (ELHT) are required to attend the ‘Hip and Knee Joint School’. This is an award-winning patient education programme. Pre-pandemic, it was a day at the hospital dedicated to introducing patients to the specifics of a hip and knee joint replacement surgery. This takes the patient from the process of anaesthesia to post-operative ward care. Method Due to the virulent transmission of COVID-19, strict social distancing rules have been implemented. Therefore, it was decided that converting the joint school into online videos would be the best medium for patient education. Various healthcare professionals contributed to the videos included orthopaedic surgeons, anaesthetists, specialist nurses, healthcare assistants, occupational therapists, and physiotherapists. Results Eleven videos were filmed, edited, and approved by the trust’s communications team. These included, ‘Introduction to the Joint School’, ‘You and your surgery’, ‘Leading up to your operation’, ‘Your Operation Journey’, ‘Introducing the Anaesthetist’ ‘Total Hip Replacement Surgery’, ‘Total Knee Replacement Surgery’, ‘Post-op Wound Care’, ‘Your Safe Discharge Home’, ‘FAQ’s’ and ‘COVID-19 Green Pathway’. Conclusions The global pandemic has driven innovation and novel ideas in medicine. We have seen similar changes in our trust with the online patient education videos being a prime example. This joint school was originally started in our trust, but now as it had been converted to videos, we believe that it can be modified and used across all trusts in the NHS.

The Impact of Face Masks on the Emotional Reading Abilities of Children—A Lesson From a Joint School–University Project

Wearing face masks has become a usual practice in acute infection events inducing the problem of misinterpreting the emotions of others. Empirical evidence about face masks mainly relies on adult data, neglecting, for example, school kids who firmly are dependent on effective nonverbal communication. Here we offer insights from a joint school–university project. Data indicate that emotional reading of 9 to 10 years old pupils ( N = 57) was similarly impaired as adults on an overall performance level, but that their selective performance on specific emotions was quite different. Kids showed extreme problems in reading the emotion disgust, strong effects on fear and sadness, and only mild effects on happiness, but also even better performances for emotional states anger and neutral when faces were masked. This project did gain not only relevant data about children’s perception but also made clear how fruitful seriously conducted school projects can be to encourage the interest and commitment for Science, Technology, Engineering, and Mathematics (STEM)-relevant topics.

Study on the Situation and Teaching Reform Plans of Korean LanguageTeaching in China in the Context of China-Korea Joint School Running

In recent years, under education internationalization, with the deepening of bilateral exchanges in economic, political, cul- tural, and other fields between China and Korea, the Korean language has gradually popularized in higher education in second and third-tier cities in China. Based on the investigation of Korean courses offered by universities in second and third-tier cities in China, this paper analyzes the existing problems in Korean language teaching in the context of China-Korea joint school-running and proposes the corresponding teaching reform plans.

59 A Qualitative Study Evaluating Patient Education in the Pre-Operative Pathway for Elective Hip and Knee Arthroplasty at A Major London Teaching Hospital

Introduction Rising demands for hip and knee arthroplasty have been met with incremental advancements in both implant design and surgical technique. Despite these advancements in the intraoperative setting, the preoperative pathway has remained largely unchanged. The resulting ineffective demand management and improper patient optimisation through education and engagement, has contributed to long waiting times and increasing surgical cancellations. This has in turn lead to both patient distress and the disruption of clinical workflow. Aims This study aimed to investigate the effectiveness of patient education in the pre-operative pathway for elective hip and knee arthroplasty, at Imperial College Healthcare NHS Trust, from the perspective of key clinical stakeholders. Methods 16 Semi Structured Interviews were conducted with Healthcare professionals (HCPs) along the preoperative pathway. These included GPs, Orthopaedic Surgeons, Nurses, Anaesthetists, Orthogeriatricians, Occupational Therapists and Physiotherapists. Interviews were recorded, transcribed and thematically analysed. Sampling continued until information redundancy was reached. Results HCPs stressed that patient education lacked engagement & effectiveness. Whilst joint school (an MDT run seminar) is in place for patients before surgery, it was resource intensive meaning sessions were infrequent and often overcrowded. Furthermore, not all patients were invited/attended joint school as a result of problems with scheduling and transport. Of those whom did, information retention was identified as a problem, highlighted by patients not bringing in medication, and failing to follow fasting instructions, leading to cancellations on the day of surgery. A significant proportion of elderly patients also needed additional and continued support in understanding and interpreting information, a key issue that was not addressed by traditional joint school. Conclusions This study has provided a more in-depth analysis of patient education in the pre-operative pathway revealing inadequate tailoring, and delivery of education material particularly for the older patient. Both timing, content and frequency of patient education could be improved in order to improve quality of care and reduce cancellations in turn improving the management of demand for orthopaedic services. Future studies may want to evaluate the use of digital technology in this area of the pathway in efforts to overcome these issues.

Does a Canadian diabetes curriculum work for future physicians in China? Lessons from the Ottawa Shanghai Joint School of Medicine

Background: The Ottawa Shanghai Joint School of Medicine (OSJSM) is a campus of the University of Ottawa Medical School in Shanghai, China. This collaboration allowed us to study whether a Canadian curriculum is suitable for the Chinese population. The aim of this study is to evaluate: 1) The OSJSM diabetes curriculum; and 2) The relevancy of the content for the Chinese population.Methods: The diabetes curriculum content was evaluated using a curriculum comparison between the University of Ottawa, OSJSM, and the Shanghai Jiao Tong School of Medicine (SJTSM). A literature search compared the diabetes populations in Canada and China. Interviews determined how physicians and patients manage diabetes.Results: The diabetes curriculum at the OSJSM is identical to that of the University of Ottawa. Canada and China have a similar diabetes prevalence, diagnostic criteria, and management. Although both countries utilize the same screening guidelines for diabetes and its complications, patients in Canada are more likely to adhere to these recommendations.Conclusion: This study suggests that the diabetes content of the University of Ottawa curriculum remains relevant in China. A greater emphasis on the importance of screening for disease complications in the curriculum may facilitate making this a priority for patients and healthcare providers in China.

Pioneering International Collaboration in Medical Education: The Ottawa-Shanghai Joint School of Medicine (OSJSM) Student Builder Program (SBP)

ABSTRACTShanghai is one of the world’s fastest growing megacities. With a population of 24 million, it is clear that there is a huge demand for healthcare services. With the establishment of the first Canadian-International medical school, Ottawa-Shanghai Joint School of Medi­cine (OSJSM), four Student Builders were chosen to pilot clinical learning at Shanghai Jiao Tong University (SJTU) affiliated hospitals. Students were given opportunities to learn about the healthcare system in Shanghai, to work closely with medical students and physi­cians, to complete pre-clerkship observerships, and to be immersed in Chinese culture. The ongoing purpose of the Student Builder Program (SBP) is to evaluate the feasibility of having comprehensive undergraduate medical student engagement between the two cities. Students spent over 3 months in clinical settings with SJTU affiliated hospitals. Additionally, students worked closely with the OSJSM Student Affairs Office (SAO), delivered a presentation about Ottawa’s medical curriculum to SJTU faculty, as well as conducted clinical research. To gain a deeper understanding of Chinese healthcare, students also had the opportunity to take a one-month Tra­ditional Chinese Medicine (TCM) course. As a result, the Canadian medical students became familiarized with the Chinese healthcare system and culture, in addition to expanding their knowledge in medicine. This experience also provided the students with an oppor­tunity to work with a large volume of patients. Moreover, the physicians at SJTU affiliated hospitals (primarily Renji Hospital) were able to gain a deeper understanding of University of Ottawa’s medical school curriculum and clinical teaching methods. RÉSUMÉShanghai est une mégapole connaissant une des croissances les plus rapides. Avec une population de 24 millions de personnes, il est clair qu’il y existe une demande soutenue de services de soins de santé. À la suite de la fondation de la première école de mé­decine canadienne internationale, soit l’École conjointe de médecine Ottawa-Shanghai (ECMOS), quatre étudiants « bâtisseurs » ont été sélectionnés pour être les premiers à explorer l’enseignement clinique offert dans les hôpitaux affiliés à l’Université Jiao Tong de Shanghai (UJTS). Les étudiants ont eu la possibilité d’en apprendre plus au sujet du système de soins de santé à Shanghai, de travailler en étroite collaboration avec des étudiants en médecine et des médecins, de compléter des stages observatoires du préexternat, et de s’immerger dans la culture chinoise. L’objectif du programme des étudiants-bâtisseurs, qui persiste à ce jour, est d’évaluer la possibilité d’établir un partenariat complet entre les deux villes, dont bénéficieraient les étudiants de premier cycle en médecine. Les étudiants ont passé plus de trois mois en milieu clinique dans les hôpitaux affiliés à la UJTS. En outre, ils ont travaillé de près avec le Bureau des services aux étudiants du ECMOS, ont présenté le curriculum médical d’Ottawa à la faculté de la SJTU, et ont effectué de la recherche clinique. Afin d’approfondir leur compréhension des soins de santé chinois, les étudiants ont aussi eu l’occasion de suivre un cours de médecine chinoise traditionnelle pendant un mois. Par conséquent, les étudiants en médecine canadiens se sont familiarisés avec le système de soins de santé chinois et la culture chinoise, en plus d’avoir acquis de nouvelles connaissances médicales. Cette expérience a aussi permis aux étudiants de travailler avec un grand nombre de patients. De surcroît, les médecins des hôpitaux affiliés à la UJTS (principalement l’hôpital Renji) ont pu développer une meilleure compréhension du curriculum médical à l’Université d’Ottawa et de ses méthodes d’enseignement clinique.